- Medicare Primary Care in Medford, OR

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Medford, Oregon. The current practice location for is 3617 S Pacific Hwy, Medford, Oregon. For appointments, you can reach them via phone at (541) 535-6239. The mailing address for is 931 Chevy Way, Medford, Oregon and phone number is (541) 535-6239.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851327571. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (541) 535-6239.

Contact Information

3617 S Pacific Hwy
Medford
OR 97501
(541) 535-6239
(541) 512-1026

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location3617 S Pacific Hwy, Medford, Oregon
Authorized Official Name and PositionTara Lynette Jeannot (CHIEF OPERATIONS OFFICER)
Authorized Official Contact5415356239
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

931 Chevy Way
Medford
OR 97504-4127

Ph: (541) 535-6239
3617 S Pacific Hwy
Medford
OR 97501

Ph: (541) 535-6239

NPI Details:

NPI Number1851327571
Provider Enumeration Date06/24/2006
Last Update Date07/15/2019

Medicare PECOS Information:

Medicare PECOS PAC ID0244143089
Medicare Enrollment IDO20031107000627

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851327571NPI-NPPES
022868MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameKenneth J Rhee
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265497846
PECOS PAC ID: 7315830163
Enrollment ID: I20040205000229
Provider NameLeah F Schindler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306889969
PECOS PAC ID: 5193717569
Enrollment ID: I20040402001196
Provider NameLinda R Harris
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1891730826
PECOS PAC ID: 9638141245
Enrollment ID: I20040812000517
Provider NameSheri R Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821095241
PECOS PAC ID: 6608830872
Enrollment ID: I20041117000418
Provider NameJessica H Diaz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578645404
PECOS PAC ID: 1456388073
Enrollment ID: I20050725001076
Provider NameKaren L Sauer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386687283
PECOS PAC ID: 5092737973
Enrollment ID: I20051220000298
Provider NameSarah Ann Lamanuzzi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235243049
PECOS PAC ID: 9931114857
Enrollment ID: I20061204000523
Provider NameKim A Mcquoid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891792438
PECOS PAC ID: 6901902246
Enrollment ID: I20070503000439
Provider NameLauralyn B Carter-meletich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053577122
PECOS PAC ID: 8820163306
Enrollment ID: I20080818000664
Provider NameRichard H Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265440473
PECOS PAC ID: 1557420775
Enrollment ID: I20081103000596
Provider NameKelli Ann Lafleur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386650398
PECOS PAC ID: 5991853830
Enrollment ID: I20090501000306
Provider NameVictoria A Cordy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497919161
PECOS PAC ID: 9638215361
Enrollment ID: I20091009000078
Provider NameChristopher D Alftine
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073510483
PECOS PAC ID: 6204864085
Enrollment ID: I20101201000770
Provider NameMary F Cutler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649231523
PECOS PAC ID: 0749456374
Enrollment ID: I20120104000223
Provider NameDonna J Niemela
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194911032
PECOS PAC ID: 9537327572
Enrollment ID: I20120222000980
Provider NameJustin Adams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760616866
PECOS PAC ID: 1052560356
Enrollment ID: I20121002000260
Provider NameLauri Hoagland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265524482
PECOS PAC ID: 1254377260
Enrollment ID: I20121010000436
Provider NameErin M Schorran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033490784
PECOS PAC ID: 0244489060
Enrollment ID: I20121213000359
Provider NameKaren A Resnick
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1285771709
PECOS PAC ID: 6709892136
Enrollment ID: I20130123000598
Provider NameBrian C Marlia-larsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780013110
PECOS PAC ID: 5698903631
Enrollment ID: I20140120000690
Provider NamePatricia Schein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942242193
PECOS PAC ID: 2668602293
Enrollment ID: I20140227001443
Provider NameElizabeth Banowetz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639406333
PECOS PAC ID: 6406097898
Enrollment ID: I20140613001856
Provider NameLori D Braughton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578963443
PECOS PAC ID: 3779808332
Enrollment ID: I20150203000680
Provider NameMatthew John Hogge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912203183
PECOS PAC ID: 4688988926
Enrollment ID: I20150730014137
Provider NameRebecca Rose
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1174634794
PECOS PAC ID: 2264621119
Enrollment ID: I20160812000240
Provider NameLori Jo Marlia-larsen
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1114260650
PECOS PAC ID: 5698062859
Enrollment ID: I20161003001430
Provider NameErnesto Jimenez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487092045
PECOS PAC ID: 0446553911
Enrollment ID: I20161021001616
Provider NameRebecca Rampton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528506334
PECOS PAC ID: 7416232285
Enrollment ID: I20170316002156
Provider NameAnne M Higby
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003192816
PECOS PAC ID: 5496022618
Enrollment ID: I20170518001705
Provider NameBeverly Anne Copeland
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285631655
PECOS PAC ID: 7517871023
Enrollment ID: I20180118001328
Provider NameRita Goehring
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962883140
PECOS PAC ID: 4688950009
Enrollment ID: I20180406000480
Provider NameRosa Ruggiero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558524348
PECOS PAC ID: 5698947497
Enrollment ID: I20190409003070
Provider NameCarolina Mona-keene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255845319
PECOS PAC ID: 9436419355
Enrollment ID: I20190604003067
Provider NameStephanie A Estes
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1003357401
PECOS PAC ID: 8123396595
Enrollment ID: I20190925000413
Provider NameKristopher Azevedo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558757997
PECOS PAC ID: 7214243567
Enrollment ID: I20191004003058
Provider NameAmanda Rae Maitland
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1891295176
PECOS PAC ID: 9032474317
Enrollment ID: I20191113001555
Provider NameNathaniel A Fondell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346695236
PECOS PAC ID: 1850674243
Enrollment ID: I20191202000161
Provider NameIreli Yudith Hernandez
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1255983904
PECOS PAC ID: 6709213093
Enrollment ID: I20200226001933
Provider NameJessica Nawoichik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366755019
PECOS PAC ID: 9537314778
Enrollment ID: I20200402002292
Provider NameKelly Eileen Church
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598309387
PECOS PAC ID: 8820412869
Enrollment ID: I20200722004051
Provider NameJamie S Osborn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316972193
PECOS PAC ID: 5294867776
Enrollment ID: I20201014003929
Provider NameJorge Palomino Vargas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760845846
PECOS PAC ID: 8224377619
Enrollment ID: I20210104002114
Provider NameVictor Paul Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619575875
PECOS PAC ID: 0648686469
Enrollment ID: I20210302003012
Provider NameHannah Bampton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588949374
PECOS PAC ID: 1850630591
Enrollment ID: I20211215002470
Provider NameKyle J Rutledge
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265828446
PECOS PAC ID: 9133499460
Enrollment ID: I20220727001045
Provider NamePatricia Demaio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295746295
PECOS PAC ID: 2860448172
Enrollment ID: I20220817001400
Provider NameBranddy Walter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619325438
PECOS PAC ID: 7719363910
Enrollment ID: I20220926000692
Provider NameAriela Nacach Schnyer
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1649994575
PECOS PAC ID: 1850769050
Enrollment ID: I20221118002384
Provider NameKaia Elaine Deroche
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376297572
PECOS PAC ID: 1052786464
Enrollment ID: I20230417000412
Provider NameJessica K Langston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033361373
PECOS PAC ID: 7315081973
Enrollment ID: I20230425000993
Provider NameElena Wade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952736548
PECOS PAC ID: 2860627577
Enrollment ID: I20230601002032
Provider NameDeborah Silbowitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629751078
PECOS PAC ID: 4082077821
Enrollment ID: I20230828002307
Provider NameElizabeth Fairweather
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437757374
PECOS PAC ID: 7719331040
Enrollment ID: I20230920003060
Provider NameJulie Graham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053199802
PECOS PAC ID: 4486009404
Enrollment ID: I20231011003165
Provider NameMegan Schneider
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124363866
PECOS PAC ID: 8426288911
Enrollment ID: I20240108005826
Provider NameDavid Scott
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1699976407
PECOS PAC ID: 7214389147
Enrollment ID: I20240116004690
Provider NameWendy Harmeston
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1790531457
PECOS PAC ID: 2062854177
Enrollment ID: I20240521002515
Provider NamePraneeta B Aviles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255162046
PECOS PAC ID: 9739610734
Enrollment ID: I20241001003660
Provider NameAllison Giles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851128987
PECOS PAC ID: 2668903535
Enrollment ID: I20241002002435
Provider NameMolly Foreman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124854237
PECOS PAC ID: 9234660077
Enrollment ID: I20241003001021
Provider NameKristiana Georgieva Breijo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528805710
PECOS PAC ID: 1456882141
Enrollment ID: I20241004003209
Provider NameTamara Joy Chambers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013227602
PECOS PAC ID: 5092247973
Enrollment ID: I20241016003425
Provider NameDeborah Valentine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013272970
PECOS PAC ID: 6002120011
Enrollment ID: I20241022004425
Provider NameGalen Sincerny
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063068757
PECOS PAC ID: 7719381201
Enrollment ID: I20241101001928
Provider NameJon Guy Kirwan
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1891931911
PECOS PAC ID: 3072833805
Enrollment ID: I20241121002218

Reviews and Comments


Clinic/Center in Medford, OR


Primary Care Clinic
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Phone: 503-494-9000    
Rogue Community Health
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Practice Location: 920 Royal Ave, Medford, OR 97504
Phone: 541-732-8400    Fax: 541-732-8401

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Medicare: Not Enrolled in Medicare
Practice Location: 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504
Phone: 541-732-7850    Fax: 541-732-7851
Complete Integrative Care, Llc
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Medicare: Medicare Enrolled
Practice Location: 3156 State St, Medford, OR 97504
Phone: 541-773-5772    Fax: 541-773-1113

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Medicare: Not Enrolled in Medicare
Practice Location: 638 Market St, Medford, OR 97504
Phone: 541-494-3840    Fax: 541-494-1789

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.